I distinctly remember when I started my clinical year at Osmania General Hospital, Hyderabad India. We all students used to gather around the bed of some unfortunate patient and listen with rapt attention to the words of wisdom spoken by our professors.
I hear this is becoming rare even in India
I only hope and pray this is not going to be the norm. We can do a lot without computers for patients.
Although there is much computers can help in healthcare I think the focus is placed on the wrong aspects and computer software is created without taking the advice of doctors, nurses, and patients.
" When students arrive on the wards full time, white coats packed with the aforementioned instruments, measuring tape, tuning fork, flashlight and Snellen eye chart, they are shocked to find that the focus on the ward doesn’t revolve around the patients but around the computers lining the bunkers where students, residents and attending physicians spend the majority of their time, backs to one another. All dialogue among them and other hospital staff members — every order, every lab request, and a result — must pass through this electronic portal, even if the person whose inbox you are about to overload is seated next to you.
In America today, the patient in the hospital bed is just the icon, a placeholder for the real patient who is not in the bed but in the computer."
"Old-fashioned “bedside” rounds conducted by the attending physician too often take place nowhere near the bed but have become “card flip” rounds (a holdover from the days when we jotted down patient details on an index card) conducted in the bunker, seated, discussing the patient’s fever, the low sodium, the abnormal liver-function tests, the low ejection fraction, the one of three blood cultures with coagulase negative staph that is most likely a contaminant, the CT scan reporting an adrenal “incidentaloma” that now begets an endocrinology consult and measurements of serum cortisol."
"The living, breathing source of the data and images we juggle, meanwhile, is in the bed and left wondering: Where is everyone? What are they doing? Hello! It’s my body, you know!"
I hear this is becoming rare even in India
I only hope and pray this is not going to be the norm. We can do a lot without computers for patients.
Although there is much computers can help in healthcare I think the focus is placed on the wrong aspects and computer software is created without taking the advice of doctors, nurses, and patients.
" When students arrive on the wards full time, white coats packed with the aforementioned instruments, measuring tape, tuning fork, flashlight and Snellen eye chart, they are shocked to find that the focus on the ward doesn’t revolve around the patients but around the computers lining the bunkers where students, residents and attending physicians spend the majority of their time, backs to one another. All dialogue among them and other hospital staff members — every order, every lab request, and a result — must pass through this electronic portal, even if the person whose inbox you are about to overload is seated next to you.
In America today, the patient in the hospital bed is just the icon, a placeholder for the real patient who is not in the bed but in the computer."
"Old-fashioned “bedside” rounds conducted by the attending physician too often take place nowhere near the bed but have become “card flip” rounds (a holdover from the days when we jotted down patient details on an index card) conducted in the bunker, seated, discussing the patient’s fever, the low sodium, the abnormal liver-function tests, the low ejection fraction, the one of three blood cultures with coagulase negative staph that is most likely a contaminant, the CT scan reporting an adrenal “incidentaloma” that now begets an endocrinology consult and measurements of serum cortisol."
"The living, breathing source of the data and images we juggle, meanwhile, is in the bed and left wondering: Where is everyone? What are they doing? Hello! It’s my body, you know!"
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